JOSEPH MARVIN HENDERSON MD NPI 1679540090

NPI Information

NPI: 1679540090
Provider Name: JOSEPH MARVIN HENDERSON, MD
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

Address:
1400 N RITTER AVE
STE 370
INDIANAPOLIS, IN
ZIP 46219
Phone: (317) 355-1144
Get Directions

Joseph Marvin Henderson, MD is a gastroenterology internal medicine in Indianapolis, IN. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Joseph Marvin Henderson, MD NPI is 1679540090. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1400 N RITTER AVE
STE 370
INDIANAPOLIS, IN
ZIP 46219
Phone: (317) 355-1144
Fax: (317) 355-1155

The enumeration date for this NPI number is 3/3/2006 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0100X	Internal Medicine	Gastroenterology	01042307A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000793527	OTHER	INDIANA	ANTHEM
2	P01170017	OTHER	INDIANA	RR MEDICARE PTAN
3	100474160A	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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